Marinelli G, Pupi M, D'Innocenzo C, Tarsitani G
Cattedra di Igiene e Metodologia Epidemiologica, Università degli Studi de L'Aquila.
Minerva Pediatr. 1992 Jun;44(6):271-7.
An epidemiological study has been carried out an the scholastic population of L'Aquila (Abruzzo). This study had the aim of verifying possible correlations between feeding procedures and the outbreak of illnesses whose causes are unknown. The information was registered with the collaboration of the Medical Scholastic Service, in the period of May-June in 1988-1989, interviewing four hundred and seventy-seven mothers of students, the information regards the temporary period of 1973-1985. The results of their elaboration are as follows: 75.9% of babies took breast milk at birth and in following months breast feeding was the most frequent (34.8%). The procedure breast feeding-bottle feeding was carried out in 30.4% of cases and exclusively bottle feeding in 22.4%. The study has permitted to discover thirteen cases of illnesses whose cause are unknown among which a case of SIDS (sudden infant death syndrome) in a newborn baby fed till eighteen weeks with breast milk and through twenty days before dying with undiluted cows milk. These illnesses happened in 13.4% of babies fed by bottle milk and diluted with running water; in 7.7% by cow's milk diluted with running water and in 4.3% by undiluted cow milk. Some Authors have suspected a relationship between bacterial endotoxin introduced by diet and baby illnesses whose causes are unknown. For this a quantitative determination of such substances is necessary in baby diets.
在拉奎拉（阿布鲁佐大区）的学校人群中开展了一项流行病学研究。这项研究旨在验证喂养方式与病因不明疾病的爆发之间可能存在的关联。在1988 - 1989年5月至6月期间，在学校医疗服务部门的协作下进行信息登记，采访了477名学生的母亲，信息涉及1973 - 1985年这一时期。对这些信息进行整理后的结果如下：75.9%的婴儿出生时食用母乳，在随后几个月中母乳喂养最为常见（34.8%）。采用母乳喂养 - 奶瓶喂养方式的情况占30.4%，纯奶瓶喂养的占22.4%。该研究发现了13例病因不明的疾病，其中1例婴儿猝死综合征发生在一名一直母乳喂养至18周、在死亡前20天改用未稀释牛奶喂养的新生儿身上。这些疾病发生在13.4%用瓶装水稀释牛奶喂养的婴儿中；7.7%发生在用流水稀释牛奶喂养的婴儿中，4.3%发生在用未稀释牛奶喂养的婴儿中。一些作者怀疑饮食中引入的细菌内毒素与病因不明的婴儿疾病之间存在关联。因此，有必要对婴儿饮食中的此类物质进行定量测定。
